Active NPI
Melissa Rutkin, MD
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 189164-1
- Practice address
- 1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574 - Phone
- (212) 241-8395
- Fax
- (212) 289-0092
- NPI assigned
- Jul 1, 2006
- Last updated
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 189164-1 | NY | Primary |
Addresses
Primary practice location
1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574
Mailing address
1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574
Phone (212) 241-8395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189164-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Diagnostic Radiology | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Saint Vincents Hospital and Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
| Beth Israel Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400
1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
3750 72nd St
Jackson Heights, NY 11372
Phone (212) 238-7815
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
227 Madison St
New York, NY 10002
Phone (212) 238-7000
227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mrutkin1517133@nychhc.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
dba Mount Sinai Doctors Long Island
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1487995700
-
dba East New York Diagnostic & Treatment Center
- Clinic/Center
- Brooklyn, NY
- NPI 1063577831
-
dba Henry J. Carter Specialty Hospital
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Diagnostic Radiology
-
dba BIMC Radiology
- Radiological Physics Physician
- New York, NY
- NPI 1679504203
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1417972357
-
dba St. Luke's-Roosevelt Hospital Center, Dept of Radiology
- Diagnostic Radiology Physician
- New York, NY
- NPI 1306994173
-
dba Columbia Presbyterian Radiologists
- Diagnostic Radiology Physician
- New York, NY
- NPI 1467560854
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1750310876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PLACE",
"address_2": "BOX 1194",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-8395",
"fax_number": "212-289-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PLACE",
"address_2": "BOX 1194",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-8395",
"fax_number": "212-289-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKIN",
"first_name": "MELISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "189164-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.